TOMAS USMAN
Subscriber on policy B01M000445
Claims
2
Attributed to this person
Charged
964.00
Total submitted
Denied
341.00
1 denied claims
Patient responsibility
0.00
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | TOMAS USMAN |
| Role on the policy | Subscriber |
| Policy | B01M000445 |
| Date of birth | 3 Mar 1983 |
| Plan | BRONZE EPO |
| Covered from | 16 Aug 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001981 | 23 Jun 2026 | 623.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001982 | 15 Mar 2025 | 341.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 341.00 |